Gary Roger Clemens in Berwyn - General Practice
Gary Roger Clemens - NPI 1982798336
Gary Roger Clemens is a General Practice in Berwyn, Illinois. Gary Roger Clemens practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Roger Clemens is 1982798336. The last update date is 2007-07-08.
Gary Roger Clemens's current location address is 3340 S. Oak Park Ave., Berwyn, Illinois. You can contact this provider via phone number 7087951255 and fax number 7087951215. The mailing address for Gary Roger Clemens is 3340 S. Oak Park Ave., Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Roger Clemens |
|---|---|
| Address | 3340 S. Oak Park Ave., Berwyn, Illinois |
| Phone Number | 7087951255 |
| Fax Number | 7087951215 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1982798336 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3340 S. Oak Park Ave. |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 60402 |
| Phone Number | 7087951255 |
| Fax Number | 7087951215 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Roger Clemens?
The Gary Roger Clemens has been issued the NPI (National Provider Identifier) 1982798336 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Gary Roger Clemens is physically located?
The Gary Roger Clemens is situated at the following address: 3340 S. Oak Park Ave., Berwyn, IL 60402.
What is the Gary Roger Clemens's specialty and taxonomy code?
The Gary Roger Clemens's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did the Gary Roger Clemens receive its 1982798336?
The Gary Roger Clemens was issued its 1982798336 on 2006-10-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Gary Roger Clemens, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Roger Clemens, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.